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ARCHIVED REPORTS XR0003545
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2575
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2900 - Site Mitigation Program
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PR0541989
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ARCHIVED REPORTS XR0003545
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Entry Properties
Last modified
6/21/2019 8:17:22 PM
Creation date
6/21/2019 4:11:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003545
RECORD_ID
PR0541989
PE
2950
FACILITY_ID
FA0024100
FACILITY_NAME
COUNTRY CLUB VALERO
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12302012
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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,22913 <br /> KIFF ANALYTICAL. SUBCONTRACT FORM Subcontract Lab, Sequoia Analytical <br /> Plbase mail results to Please fax to• 1455 lffcDowell Blvd, North Suite D <br /> JOEL KIFF 530-297-4503 Petaluma, CA 94954 <br /> KIFF ANALYTICAL <br /> 720 OLIVE DRIVE, SUITE D <br /> DAVIS, CA 95616 <br /> PROJECT NAME : 2575 COUNTRY CLUB BLVD, S'WJCTaJ Account No. ; <br /> PROJECT NUMBER: <br /> 15PN <br /> Sam le Matrix Lftpled Taste Due C&tainer <br /> EFF a ti ay, i WA 101116/2(*l Cadmium .Z i Prr+ 1`I10'�1� 01 ?11Db22D- <br /> EFt= ate,$ WA 10/1612001 Chromium 5I,Pm 1�1�01/2 , —� I <br /> EFF '7x, t WA 10/16/2001 Copper ! (p pPm 11/01/1001 <br /> EFF a , 9L WA 10/16/2001 Lead P rr► 11/0112001 <br /> EFF WA 10/16/2001 Nickel h�p ir;•1 11/01/2001 <br /> EFF OIL)L). 7 WA 1011fi12001 Zinc -7 nrlle% 11/0112001 <br /> COOLER CUSMDY SEALS INTACT❑ <br /> NOT INTACT O <br /> COOLER TEMPERATURE oC <br /> Relinquished by � uG khJ&V 1 1`1i 4t4 ©ate/Time- 10.�LSOV18'16 _ ReceWed by <br /> Y <br /> Relinquished b ` r Daterrime Received by <br /> q <br /> Reiing�fthed by : DateMme: Received by. <br />
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